Anesthesia awareness: narrative review of psychological sequelae, treatment, and incidence.
J Clin Psychol Med Settings
; 18(3): 257-67, 2011 Sep.
Article
en En
| MEDLINE
| ID: mdl-21512752
ABSTRACT
Awareness during general anesthesia occurs when patients recall events or sensations during their surgeries, although the patients should have been unconscious at the time. Anesthesiologists are cognizant of this phenomenon, but few discussions occur outside the discipline. This narrative review summarizes the patient recollections, psychological sequelae, treatment and follow-up of psychological consequences, as well as incidence and etiology of awareness during general anesthesia. Recalled memories include noises, conversations, images, mental processes, feelings of pain and/or paralysis. Psychological consequences include anxiety, flashbacks, and posttraumatic stress disorder diagnosis. Limited discussion for therapeutic treatment after an anesthesia awareness experience exists. The incidence of anesthesia awareness ranges from 0.1 to 0.2% (e.g., 1-2/1000 patients). Increased recognition of awareness during general anesthesia within the psychological/counseling community, with additional research focusing on optimal therapeutic treatment, will improve the care of these patients.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Despertar Intraoperatorio
Tipo de estudio:
Etiology_studies
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Incidence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Límite:
Adult
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Child
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Humans
Idioma:
En
Revista:
J Clin Psychol Med Settings
Asunto de la revista:
PSICOLOGIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos